Weight Loss in The Six Months After Bariatric Surgery

November 5, 2019

The early postoperative period after weight loss surgery is both an exciting and daunting time in every patient’s life. Undoubtedly, there is the potential for exceptional weight loss and disease resolution, making life healthier and more enjoyable. On the other hand, every bariatric patient understands going in, that the post-bariatric lifestyle is not easy and requires a great deal of dedication and motivation to achieve these goals and maintain their weight loss.

The first six months after bariatric surgery are crucial to setting the tone for longer-term weight loss, and ultimately maintaining a lower, normal body weight.

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Medications That Can Harm Your Pouch

October 15, 2019


I often get asked which medications are harmful to your pouch after gastric bypass. The class of drugs that are most harmful are NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). There are many NSAIDs out there including:

  • Aspirin
  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Rofecoxib (Celebrex)
  • And more…

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Exercises to Avoid After Bariatric Surgery

October 1, 2019

The postoperative bariatric exercise plan generally falls into two parts. First, is the short-term plan starting immediately after surgery and continuing for several months until you have lost a significant amount of weight and healed appropriately. The second is the longer-term exercise regimen that you will follow for the rest of your life. Not all exercises, however, are created equal and some may actually be detrimental to your continued progress after surgery.

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Healthy Eating After Weight Loss Surgery

September 18, 2019

When we think of eating healthily, one of the first food items that we consider are soups and salads. There are countless diets that lead us in this direction for weight loss. It is almost second nature to believe that soup and salad is good for our health and rarely do we question whether that is actually the case. It is obvious that leafy greens and basic broths can be very healthy for us, though not terribly delicious, however once we start dressing our salads and doctoring our soups, they can quickly turn into one of the worst culprits for weight gain and overall health issues. In the end, soup and salad may not be your best option, especially after weight loss surgery.

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Gallbladder Removal Diet: Foods to Eat and Avoid After Surgery

September 4, 2019

Typically, patients who have their gallbladder removed have been suffering with some discomfort around eating for a while. Most patients expect surgery to make them feel better, but the truth is, this can take some time. When the natural process of storing bile is removed, some patients experience loose stools or diarrhea. Often this resolves as the body reacclimates with the new, gallbladder-less, normal. While a strict diet after gallbladder surgery is not often prescribed, there are a few steps you can take to make the transition easier on your body. So, what should you do after a cholecystectomy surgery?

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How Many Gallstones Do I Have?

August 20, 2019

The gallbladder stores and secretes bile produced by the liver. Bile aids your body in digesting and metabolizing fat we consume in our diet. After a meal, the gallbladder is triggered to shrink to release bile into the small bowel. As the gallbladder contracts, some people experience what is known as a gallbladder attack. This typically means a gallstone has formed and is being squeezed or is trapped in the passageway from the gallbladder and small intestine. Amazingly, a single gallstone could be tinier than a grain of sand to larger than a ping-pong ball. Gallstones vary greatly and can be hard or soft and some are even jagged. Pain does not necessarily correlate to the number of gallstones you have. Whether you have one or one hundred, you may or may not even be aware. Typically, patients do not experience symptoms until a complication from the gallstone is occurring.

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4 Reasons for Abdominal Pain You Don’t Want to Ignore.

August 6, 2019

What’s Going on In Your Gut?

Abdominal pain is a common occurrence and can range from mild to severe and can have many causes, most of which are minor. Indigestion, gas, diarrhea and constipation are common symptoms, which could be the result of various factors including food allergies or intolerances, a high fat diet, ulcers or food poisoning. In some circumstances, abdominal pain is anything but normal. Seeing a doctor soon is important as varied diseases of the abdomen may have similar symptoms and should be evaluated immediately.

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Head Vs. Body – Are You Really Hungry?

July 15, 2019

Originally published on July 1, 2011 and updated on Jun 23, 2019

So, you think you are hungry – but are you really? Is your body hungry, or is it head hunger? Head hunger can be caused by many different triggers, but emotions are the biggest culprits. Feelings like boredom, loneliness or sadness aren’t fun, and we all feel them. The first reaction for some of us is to distract. A quick, easy and often satisfying distraction is eating. That’s why it’s called comfort food. Unfortunately, eating when your body isn’t hungry just adds extra calories to your diet. It can also cause you to overeat because you don’t recognize when you are full.

What we see on TV can often be a cause of head hunger. How many food commercials were played during the break of your favorite show? These ads want you to see enticing images of food that make you rush to their establishment regardless of if you are hungry or not. Before you leave the house or grab that extra snack, ask yourself: do you really want this?

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Need More Energy after Bariatric Surgery? Eat the Right Foods

July 1, 2019

Originally published on May 25, 2011 and updated on Jun 12, 2019

“I would love to work out, but I have no energy.” How many times have you said that? It’s a common problem we all encounter – weight loss surgery or not.

Food is fuel. So, it stands to reason that eating the right kinds of food after your weight loss surgical procedure can give you more energy for exercise and other activities you love.

The kind and quantity of food we put in our body has a big impact on how we feel.  After weight loss surgery, your dietary intake is limited when compared to your pre-op life. You’ll be eating much less than before, no matter what procedure you’ve undergone. That makes it all the more important to eat the right foods – the foods that will give you the most energy with the least fat and sugar.

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Gastric Bypass Treatment Lower BMI Non-Obese Diabetic Patients

April 16, 2019

By Muhammad S. Feteiha, MD, FACS

For years, surgeons and patients alike have marveled at the improvements in type-2 diabetes within days or weeks of bariatric surgery – specifically, gastric bypass surgery. Until recently, it was assumed that dramatic weight loss and calorie restriction was the reason behind these marvelous results. However, there was a nagging question in all our minds – how did type-2 diabetes go into remission in so many patients within a mere few days or weeks of surgery…often before any significant weight was lost.1It was a question often pondered, but rarely researched – mostly because bariatric surgery was an option limited to the obese population. In other words, it was doing its job.

Today, diabetes is an ever-growing part of society, becoming a leading cause of illness and death in the United States and around the globe. However, gastric bypass remains a procedure limited only to those who are morbidly obese (with a BMI of 40 or over) or those with a BMI of 35 and over with one or more comorbid conditions such as diabetes. In other words, weight is still the primary driver for surgical candidacy.

The result is that while advocacy groups and surgeons alike are recognizing the potential benefits of bariatric surgery for a larger number of less- or non-obese diabetic patients, wider adoption remains challenging.

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Advanced Surgical Associates is one of the first exclusively surgical groups practicing in Union County New Jersey. And that is just the first of many firsts for ASA. For over 40 years, we have pioneered breakthrough surgical patient care in North Jersey in both general and weight loss surgery. ASA also offers gastric bypass, gastric sleeve and gastric banding to those suffering from obesity in New Jersey.
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